摘要
目的探讨任务导向性护理模式结合镜像康复训练在脑卒中后偏瘫患者中的应用效果。方法选取2020年7月至2022年7月收治的90例脑卒中后偏瘫患者,按护理方法差异将其分为对照组和观察组,各45例。对照组实施常规护理,观察组实施任务导向性护理模式结合镜像康复训练。比较两组的干预效果。结果观察组的健康知识掌握优良率高于对照组(P<0.05)。干预后,观察组的上、下肢Fugl-Meyer运动功能量表(FMA)评分高于对照组(P<0.05)。干预后,观察组的神经生长因子(NGF)水平高于对照组,神经元特异性烯醇化酶(NSE)及髓鞘碱性蛋白(MBP)水平均低于对照组(P<0.05)。干预后,观察组的N20潜伏期短于对照组,波幅高于对照组(P<0.05)。结论任务导向性护理模式结合镜像康复训练可促进脑卒中后偏瘫患者的肢体功能改善,调节神经相关因子水平,改善体感诱发电位,值得推广。
Objective To explore the application effect of task-oriented nursing mode combined with mirror rehabilitation training in patients with hemiplegia after stroke.Methods A total of 90 patients with hemiplegia after stroke admitted from July 2020 to July 2022 were selected and divided into control group and observation group according to different nursing methods,with 45 cases in each group.The control group was given routine nursing,while the observation group was given task-oriented nursing mode combined with mirror rehabilitation training.The intervention effects of the two groups were compared.Results The excellent and good rate of health knowledge in the observation group was higher than that in the control group(P<0.05).After intervention,the Fugl-Meyer Assessment(FMA)scores of upper and lower limbs in the observation group were higher than those in the control group(P<0.05).After intervention,the level of never growth factor(NGF)in the observation group was higher than that in the control group,and the levels of neuron-specific enolase(NSE)and myelin basic protein(MBP)in the observation group were lower than those in the control group(P<0.05).After intervention,the latency of N20 in the observation group was shorter than that in the control group,and the amplitude was higher than that in the control group(P<0.05).Conclusion The task-oriented nursing mode combined with mirror rehabilitation training can promote the improvement of limb function in patients with hemiplegia after stroke,regulate the levels of nerve-related factors,and enhance somatosensory evoked potential,which is worthy of promotion.
作者
全咏莉
王茜
QUAN Yongli;WANG Qian(Shangluo Central Hospital,Shangluo 726000,China)
出处
《临床医学研究与实践》
2024年第18期166-169,共4页
Clinical Research and Practice
关键词
任务导向性护理模式
镜像康复训练
脑卒中
偏瘫
task-oriented nursing mode
mirror rehabilitation training
stroke
hemiplegia
